Individual
GOVARDHANA RAO YANNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 SPACE PARK DR STE 100, HOUSTON, TX 77058-3674
(281) 333-1703
Mailing address
2060 SPACE PARK DR STE 100, HOUSTON, TX 77058-3674
(281) 333-1703
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
5541
NE
208600000X
Surgery Physician
6026
GA
208600000X
Surgery Physician
Primary
Q9558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373627401
—
TX
Enumeration date
07/26/2007
Last updated
07/21/2022
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